Neuro

To evaluate a client's cerebellar function, a nurse should ask:

"Do you have any problems with balance?"

A nurse is discussing a lumbar puncture with a nursing student who observed the procedure. The student noticed that the cerebrospinal fluid was blood tinged and asks what that means. The correct reply is which of the following?

"It can mean a traumatic puncture or a subarachnoid bleed."

The spinal cord is composed of 31 pairs of spinal nerves. How many pairs of thoracic nerves are contained within the spinal column?

12

Which cranial nerve is tested by listening to a ticking watch?

Acoustic

Which of the following terms refers to the inability to recognize objects through a particular sensory system?

Agnosia

The nurse is caring for a client with a significant allergy history to various medications and shellfish. Because the client needs to have a diagnostic study with contrast, which medication classification is anticipated?

Antihistamine

A client experienced a stroke that damaged the hypothalamus. The nurse should anticipate that the client will have problems with:

Body temp control

Which of the following are sympathetic effects of the nervous system?

Dilated pupils

A female patient has undergone a lumbar puncture for a neurological assessment. The patient is put under the postprocedure care of a nurse. Which of the following important postprocedure nursing interventions should be performed to ensure maximum comfort to the patient?

Encourage a liberal fluid intake for the patient

Which of the following safety actions will the nurse implement for a patient receiving oxygen therapy who is undergoing magnetic resonance imaging (MRI)?

Ensure that no patient care equipment containing metal enters the room where the MRI table is located.

Which lobe of the brain is responsible for concentration and abstract thought?

Frontal

Which of the following cerebral lobes is the largest and controls abstract thought?

Frontal

A nurse is working in a neurologist's office. The physician orders a Romberg test. Which nursing action is correct?

Have the client close his eyes and stand erect.

Which of the following areas of the brain are responsible for temperature regulation?

Hypothalamus

A nurse is assisting during alumbar puncture. How should the nurse position the client for this procedure?

Lateral recumbent, with chin resting on flexed knees

Upper motor neuron lesions cause

No muscle atrophy

A nurse is completing a neurological assessment and determines that the client has significant visual deficits. A brain tumor is considered. Considering the functions of the lobes of the brain, which area will most likely contain the neurologic deficit?

Occipital

Which of the following cranial nerves is responsible for muscles that move the eye and lid?

Oculomotor

In reviewing a client's history and physical examination, a nurse finds that the client was found positive for ataxia during the physician's neurological testing. Which nursing diagnosis will be a priority for this client?

Risk for falls

The nurse is caring for a client newly diagnosed with multiple sclerosis. The client indicates that there is so much to understand at one time. The client indicates understanding that there is a disruption in the covering of axons but does not remember what the covering is called. Which nursing action is correct?

Tell the client that the covering is called myelin and that you can discuss at the next meeting.

The nurse is performing a neurological assessment of a client who has sustained damage to the frontal cortex. Which of the following deficits will the nurse look for during assessment?

The inability to tell how a mouse and a cat are alike

The nurse is caring for a client in the emergency department with diagnosis of head trauma secondary to a motorcycle accident. The nurse aide is assigned to clean the client's face and torso . For which action, made by the nurse aide, would the nurse provide further instruction?

The nurse aide moved the client's head to clean behind the ears.

While performing a neurologic assessment on a client, the nurse notes that the client cannot close one eyelid. This deficit is related to which of the following cranial nerves?

VII

A patient is ordered a CT scan of the brain with IV contrast. Prior to the test, the nurse should complete which of the following first?

btain a blood sample for BUN and creatinine levels.

Lower motor neuron lesions cause

flaccid muscle paralysis.

After a plane crash, a client is brought to the emergency department with severe burns and respiratory difficulty. The nurse helps to secure a patent airway and attends to the client's immediate needs, then prepares to perform an initial neurologic assessment. The nurse should perform an:

evaluation of the corneal reflex response.

The nurse is assessing the client's pupils following a sports injury. Which of the following assessment findings indicates a neurologic concern? Select all that apply.

• Unequal pupils • Pinpoint pupils • Absence of pupillary response

During a routine physical examination to assess a client's deep tendon reflexes, a nurse should make sure to:

support the joint where the tendon is being tested.

Which of the following terms refers to the inability to coordinate muscle movements, resulting difficulty walking?

Ataxia

A client is scheduled for an EEGafter having a seizure for the first time. Client preparation for this test should include which instruction?

Avoid stimulants and alcohol for 24 to 48 hours before the test."

A client has sustained a head injury to the occipital area. He cannot identify a familiar object by looking at it. The nurse knows that this deficit is which of the following?

Visual agnosia

A male patient is scheduled for an EEG. The patient inquires about any diet-related prerequisites that he must take. Which of the following diet-related advice should the nurse provide to the patient?

Avoid taking sedative drugs or drinks that contain caffeine for at least 8 hours prior to the test

A nurse is preparing a client for a lumbar puncture. The client has heard about post-lumbar puncture headaches and asks what causes them. The nurse tells the client that these headches are caused by which of the following?

Cerebral spinal fluid leakage at the puncture site

The nurse is assisting the physician in completing a lumbar puncture. Which would the nurse note as a concern?

Cerebrospinal fluid is cloudy in nature.

What is the function of cerebrospinal fluid (CSF)?

Cushions brain and spinal cord